The purpose of this
one-week forum was to review and discuss the latest guidance on
contraceptive implants featured in Family Planning: A Global Handbook
for Providers.
Discussion Statistics
Number of participants: 277
Number of participants' countries: 53
Number of contributions: 46
% of contributions from developing countries: 56%
Number of countries contributing: 16
Contributing countries:
United States (15), Nigeria (1), Kenya (2), Uganda (1), Democratic
Republic of the Congo (3), Australia (4), Brazil (2), Colombia (2),
Guatemala (1), Malawi (1), Pakistan (3), Senegal (1), Cambodia (4), New
Zealand (1), Sri Lanka (2), Timor-Leste (2)
Purpose and Objectives
The purpose of this one-week forum was to review and discuss the latest
guidance on contraceptive implants featured in Family Planning: A
Global Handbook for Providers.
Day
1.
Questions:
- What are the main differences among the different implants?
- How effective are implants compared with other family
planning methods?
- What
technical (i.e., method-related, not program-related) questions, if
any, do you or providers in your country have about implants?
- Does
your clinic or facility offer contraceptive implants? If yes, which
implants do you offer, and can you tell us about your experiences in
providing implants?
- If your clinic does not offer contraceptive implants, can
you tell us why not? Has the clinic ever considered offering them?
- Is
your clinic or facility undergoing a transition from Norplant® to
Implanon®, Jadelle® or Sino-Implant (II) ® (to be trademarked as Zarin®
in African countries)? If so, how is the transition going? Have there
been any challenges?
- Are Implanon®,
Jadelle® or Sino-Implant (II) ® (to be trademarked as Zarin® in African
countries) available in your facility? If so, how much must users pay
for them? Are they provided at the same price for everyone, or are they
given to low-income clients at a lower cost or free?
Full
text daily digest
Day 2.
Questions:
- Who can and cannot use
implants? Can
young women and older women use implants? Should heavy women avoid
implants? Can women with HIV/AIDS use implants?
- Can a client start using implants immediately? Does she
need a pelvic exam before she can have implants inserted?
- Do implants increase the risk of ectopic pregnancy?
- Is there are demand for contraceptive implants? Are your
clients asking for them? If so, how have your clients learned of them?
- How does your clinic/program obtain implants? What are the
barriers to availability and accessibility?
- What would you suggest to facilitate procurement? Ideally,
how would you like to obtain implants?
Full
text daily digest
Day 3.
Questions:
- What issues do you find with regards to removal, including
access to removal?
- Does your clinic offer removal services? If not, do you
refer your clients to other clinics?
- What
is being done to guarantee that women can get their implants removed
for any reason, whenever they want, and without cost? Some past
Norplant programs experienced some controversy in this area.
- How much are local service delivery groups paying for
implants?
- How much are they charging women to have an implant
inserted?
- Are
clinics in your country charging clients for removal; and if so, do you
think this poses a real barrier to women who want their implant removed?
- In your opinion, how important
is it ensure access to free removals?
Full
text daily digest
Day 4.
Questions:
- What are the most commonly asked questions that clients
have
about contraceptive implants?
- Women consider effectiveness the most important factor when
they choose a contraceptive method, but also consider side effects and
safety. What are the advantages of using implants?
- What should clients be told about insertion and removal of
implants?
- In your experience, what are
the most common reasons for women to either accept or reject implants?
Full
text daily digest
Days 5.
Post-forum survey results
% who have
passed content to
others - 26%
% who have or
will use in
their work - 75%
% very
satisfied with forum
content - 50%
References and resources
Related Resources & References in the community
library:
http://knowledge-gateway.org:80/Library.aspx?c=dfbb2d4b-d083-4008-98eb-fb9c59bf8a75
Population Council Materials
Population Reports and Companion INFO Reports
Scientific Journal Articles
The ACQUIRE Project/ENGENDERHEALTH Materials
Reports and publications
There is no text related to this title in the WORD document
Organizing groups
The International Consortium for
Emergency Contraception
(www.emergencycontraception.org), World Health Organization Department
of Reproductive Health and Research (WHO/RHR) and the Partners of the
Implementing Best Practices (IBP) Initiative, with assistance from The
American Society for Emergency Contraception (ASEC)
Contributing
experts/facilitators
Martha Brady, M.S., Senior Associate,
Population Council
Dawn Chin-Quee, PhD, MPH, scientist,
FHI
Kelly Cleland, MPH, MPA, Princeton
Angel Foster, MD, PhD, Senior
Associate, Ibis Reproductive
Health
David
Nolan, Director of Communication, Catholics for Choice Cristina Puig,
MS, ICEC
Elizabeth Raymond, MD, MPH,
gynecologist/ scientist, Gynuity
Health
Projects
David Turok, MD, University of Utah
Maggie Usher-Patel, Scientist,
WHO/RHR, IBP Secretariat
Steering committee
Dawn Chin-Quee
Kelly Cleland
Angel Foster
Cristina Puig
Kathleen Schaffer
Elizabeth Westley
Other acknowledgements
American Society for Emergency
Contraception
Catholics for Choice
CLAE (Latin American Consortium for
EC)
ECAfrique
Family Violence Prevention Fund
Gynuity Health Projects
FHI
Population Council
Princeton University
Sexual Violence Research Initiative
FIGO
Ibis Reproductive Health
Moderators
Christina Fusco, RN, MSN, FNP-BC,
MPH: WHO consultant
Deepa Ramchandran, MHS: WHO
consultant
Katie Richey, MPH: Technical Officer,
WHO/RHR